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. 2021 Dec;56(12):2940-2947.
doi: 10.1038/s41409-021-01431-6. Epub 2021 Aug 25.

Hematopoietic stem cell transplantation activity in China 2019: a report from the Chinese Blood and Marrow Transplantation Registry Group

Affiliations

Hematopoietic stem cell transplantation activity in China 2019: a report from the Chinese Blood and Marrow Transplantation Registry Group

Lan-Ping Xu et al. Bone Marrow Transplant. 2021 Dec.

Abstract

Between 2008 and 2019, 58,914 hematopoietic stem cell transplantations (HSCTs) were reported to the Chinese Blood and Marrow Transplantation Registry Group (CBMTRG) throughout China. In this report, we focus on 2019 data and describe current trends in HSCT in China. There was continued growth in transplant activity in China, with a rapid increase in haploidentical HSCT. In 2019, a total of 12,323 cases of HSCT were reported from 149 transplant teams, 78% (9597 cases) were allogeneic HSCTs. Haploidentical donor (HID) HSCT accounted for 60% (5771 cases) of allogeneic HSCT. The most common indications for allogeneic HSCT for malignant disease were acute myeloid leukemia (AML) (37%) and acute lymphoblastic leukemia (ALL) (24%), and the largest proportion of non-malignant diseases comprised aplastic anemia (AA) (13%). Multiple stem cell source composed 70% of HID and 28% of MSD, which was typical in China. The BuCy based regimen (59%) was the most popular conditioning regimen for allogeneic HSCT, followed by the BuFlu based regimen (23%) and TBI-based regimen (12%). This survey clearly shows comprehensive information about the current state and recent trends for HSCT in China. Further efforts should be made to obtain detailed information.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1. HSCT trend in China during 2008–2019.
a Annual number of HSCT. b Annual number of allogeneic HSCT based on donor type. c Annual trend of absolute numbers of disease indications for allogeneic HSCT.
Fig. 2
Fig. 2. Distribution of ages of HSCT recipients in China 2019.
Distribution of ages of HSCT recipients in China 2019.
Fig. 3
Fig. 3. Distribution of disease indications for HSCT in China 2019.
a Relative proportion of allogeneic HSCT. b Relative proportion of autologous HSCT. c Proportions of indication for pediatric patients. d Proportion of indication for elderly patients.
Fig. 4
Fig. 4. Annual trend of absolute number of HSCT for severe aplastic anemia based on donor type.
Annual trend of absolute number of HSCT for severe aplastic anemia based on donor type.
Fig. 5
Fig. 5. Distribution of conditioning regimen of allogeneic HSCT in China 2019.
a Relative proportion of conditioning regimen of allogeneic HSCT. b Relative proportion of conditioning regimen of malignant disease. c Relative proportion of conditioning regimen of non-malignant disease.

References

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